Organization
BROOKLERE GROUP LLC
Active
Other names
Brooklere Pharmacy 104
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN JOSEPH BROOKLERE RPH (PHARMACIST/OWNER)
(205) 648-6059
Entity
Organization
Contact information
Practice address
385 BRYAN ROAD, SUITE 200, SUMITON, AL 35148
(205) 648-6059
(205) 648-4706
Mailing address
PO BOX 249, 385 BRYAN RD STE 200, SUMITON, AL 35148-0249
(205) 648-6059
(205) 648-4706
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
103045
AL
3336C0003X
Community/Retail Pharmacy
103045
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100002021
—
AL
Enumeration date
08/08/2006
Last updated
09/10/2015
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